Medicare AdvantageDocumentationMedium impact
24-895m How You Code Vascular Conditions Impacts Risk Adjustment
Health Net·CA · Cardiology, Vascular Surgery, Internal Medicine +1 more·Coding
We identified it
Jun 20, 2026
Summary
HealthNet California has released a comprehensive resource training guide for coding vascular conditions to improve risk adjustment accuracy. The guide provides specific documentation and coding requirements for Medicare and Medicare D-SNP providers to ensure proper HCC mapping and coding to the highest level of specificity.
Action Required
Immediately: Coding and clinical documentation teams should access and review the Coding For Vascular Conditions Resource Training Guide available on HealthNet's provider training page under Operational, Administrative and Value-Added Provider Trainings. Implement best practices for documenting vascular conditions with clear, complete descriptions distinguishing between history versus active conditions. Update coding workflows to ensure highest specificity for all vascular diagnoses to support proper risk adjustment.